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Organization · Community/Retail Pharmacy · Thibodaux, LA

NPI
1073530325
Type
Organization (Type 2)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
4826RC (LA)
Enumerated
2006-07-16
Last updated
2025-06-04
Practice location
410 N Canal Blvd
Thibodaux, LA 70301-2956
(985) 446-3637

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